Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10060-10444
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 5

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 2

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

N

NW 88326 Docid:32939452 Page 1

2 Date:08/20/93
; Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180-10060-10444

RECORDS SERIES :;
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR :
FROM ;
TO :

TITLE :

DATE
PAGES

09/19/77
5

oo ee

SUBJECTS :
HSCA, ADMINISTRATION
HORNBECK, JOHN

DOCUMENT TYPE : PRINTED FORM
CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW ; 06/04/93

OPENING CRITERIA :

COMMENTS

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NW 88326 Docid:32739452 Page 3

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter 4} U.S. HOUSE OF REPRESENTATIVES _ (Any erasures, corrections, or changes .

. . . on this form must be initialed by the
or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) Effective Date

dohn ¥. Hornbeck 77/78 3
Employee Social Security Number Type of Action |
194~. 490-5931 . QO) Appointment 4
0 Salary Adjustment ;
Employing Office or Committee/Subcommittee D1 Title Change |
: [J Termination (At close of business on effective date) 4
Assassinations 0 Leave without pay (Beginning with effective date above and ending 4
close of business. |
Specify Date 5
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) j
a
Position Title Gross Annual Salary* ;
j
3
* if emoloyee is a civil service. annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee 4
plus the salary received from the employing office. a
(If Committee Employee, complete appropriate item below.) i
3
1. 0 Standing Committee: Staff—O] Clerical or 0 Professional. — j
2 Ss ial (I * q ff . . . . 956 S5th E
. pecial (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res? °__ of 2=_~_Congress. 4
i
3. O Joint Committee. m3
. > . 4

(If Employee of an Officer of the House, complete item below.) a ;
we . a
Position Number__..... If applicable, Level__ Step. 4
q
. ‘
. a
| certify that this’ authorization is not in violation of 5 U.S.C. 3110(b),- prohibiting the employment of 4
relatives.. J
7 78 4
pote 9 :
: (Signature of Authorizing Official) y
ooo nnn nena LOUIS STOKES. CHAIRHAR
{if appropriate, signature of Subcommittee Chairman.or Ranking Minority Member} . (Type or print nome of Authorizing Official) : 7
4
Type or print name and tile of above official), SSCS ee Title= If Member, District ond State) SSS v 3
All.appointments and salary adjustments for employees under the House. Classification Act and for Committee em--.° - ot
ployees, except those of the Committee on Appropriations, the. Committee on. the Budget; and the-Joint Committees, must. . - 4
be approved by the Committee on House Administration. ; ; i
APPROVED: nnn _ \
Choirman, Committee on House Administration 3
4
Office of Finance use only: 4
1
Office Code 3
_ 4
: (Revised: August 1; 1977) i
Copy for. Initiating Office or Committee: =. sts. oe j
He 3

NW 88326 Docid:32739452 Page 4 : : . _


PAYROLL AUTHORIZATION FORM

i
"leo Use Typewnter “« *U.S. HOUSE OF REPRESENTATIVES (thy aaa, nvacons. cages -
. - : n thi u

or Ballpoint Pen) Washington, DC 20515 authorizing official ) |

To the Clerk of the House of Representatives: 7 a
| hereby authorize the following payroll action.

: Employee Name (First-Middle-Last) Effective Date - °

John WH. Hornbeck — 9/19/77 |

Employee Social Security Number: Type of Action 3

194 30 5931 a Appointment

Employing Office ar Committee D Sclary Adjustment (

Assassinations CJ Termination (At close of business on effective date) 4

- 4

: 4

(If type of action 1s an Appointment or Salary Adjustment, complete the following: information ) |

q

Position Title

Gross Annual Salary ~

$34,000

&,

Staff Counsel

2

(If Committee Employee, complete appropriate item below }

1. [J Standing Committee: Staff—[] Clerical or [] Professional - .

27 Special or Select Committee. Authority—H Res. 465 of 25th Congress.
3 [] Joint Committee.

(If Employee of an Officer of the House, complete item below)

Position Number Step____.__.

| certify that this authorization is not in violation of 5 USC 3110(b), -prohibiting the employment of
relatives. a _

. eee
aot ncn AEE ge aoe or re
Date September 19 jo/7, _- aa renee
es I (Signoture of Avihonaing Offeal)
 touis Stokes

eo (Type or print name of Authorizing Official)
“ Chat rman

ee Title= IF Member, Distctand State). SSS ~
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration

APPROVED.

Chairman, Committee on House Administration

Sea CTR Let OL ACSCE STOLE EEE, One ONL TOL SEO 5 oT OES ae PORES TE BORLA, SRE STSTOLTS FORT ERE ANT Oe OD

&

_ lashes an,

Office of Finance use only:
i f2

Q

=

o

<

°

a

2

1

i

!

!

1

1

= =
S
Maa

Copy for initiating Office or Committee

|

i - ~ ~ ee wee ee me te

lw 88326 Docld:32239452 Page 5

i
1
1

MEMORANDUM

TO: ALL STAFF

RE: Payroll Certification

The Regulations and Accounting Procedures for Allowances and

Expenses of Committees, Members rs and Employees of of the U.S. House “of,

Representatives require that, among other things, the Committee's
monthly payroll certification include the relationship, if any, of

each employee to any current Member of Congress.

is signed monthly by our Chairman.

This certification

The following are the relationships to be included in the

certification:

father nephew

mother niece

son husband
daughter wife

brother father-in-law
sister ino ther-in-law
uncle son-in-law

aunt daughter-in-law

first cousin

brother-in-law
Sister-in-law
stepfather
stepmother
stepbrother
stepsister

hal f-brother
half-sister

Please complete the appropriate portion below, sign and date

this form, which will tt

yen become a part of your permanent personnel

file. If this status changes, you must notify the Committee's Budget

Office immediately of the change.

LZET am not related to any current (95th Congress) Member of Congress.

[7 1 am related to a current (95th Congress) Member of Congress.

(Please specify.)

Lt tilt
Tgnaturé of Enployee

7-20-22

Date

| _- a
he 88326 Docld:32239452 Page 6


MEMORANDUM

TO: Thomas Howarth

Budget Officer

FROM: Charlie Mathews ft CW
Special Counsel
DATE: September 19, 1977

4
RE: John Hornbeck

[94-38 593]

This is to advise you that John Hornbeck has ac-

C
cepted a position on the John F. Kennedy Task Force,

\
\
effective September 19, 1977, at an annual salary of
$34,000.
oor Ne
Please extend every possible assistance to Mr.
Hornbeck.

WM burl f be

;

- - . !
[NW 88326 Docld:32239452 Page f 7

